Apr 292010
 

Yes, I know that Congress has passed health care reform. It’s a done deal, right, and all we have to do is sit back and watch the results?

However, I also know that the new deficit reduction commission has said that everything, including federal health care legislation, is on the table when I comes to getting us out of debt.

So, we may yet be back to last summer, when health insurance reform was a distant dream from which we were separated by fear and angry rhetoric.

I understand that not all of our readers agree that it’s the job of government to do for its citizens collectively what they cannot do for themselves individually. Some other time we can discuss whether we actually need superhighways, or regulations designed to keep contaminated food out of our pantries.

But what about health care?

We could say that each of us is responsible for ourselves and our families, with no government involvement, but let’s see what that could actually look like.

Say I am driving carefully along Route 202 in Central Maine, and I get involved in a collision with a drunk driver who is uninsured (after all, there would be no legal requirement for insurance). I get badly injured, and end up with, say, $200,000 in medical costs and, because of the residual effect of those injuries, am no longer able to work.

My employer-based insurance would disappear after I used up my ten sick days.

There’s clearly a serious pre-existing condition, and no law requiring an insurance company to take me on, so no new health insurance is possible. Medicaid wouldn’t provide coverage, since we’re imagining a situation where there is no government paid health coverage.

I’m lying in intensive care, racking up thousands of dollars a day in costs with no way to pay the bill. The hospital would eventually own my house and all my other assets, but that would cover only a small fraction of what I owe.

Ah, yes…cost shifting! Whatever that hospital couldn’t get from me, it would get by charging all their other patients for $10 aspirins, but even then only people sick or injured enough to be in the hospital would end up paying (or not paying at all if they couldn’t afford it and had no assets). Those aspirins would cost more and more, and more and more patients would be unable to pay for them, until the hospital just wouldn’t be able to meet its own bills and go out of business.

Am I  missing something here?

I understand that each of us is responsible to stay as healthy as possible, eat right and exercise, and all the rest. But in the genetics lottery, not all of us are winners. And if we’re lucky, we end up with the sort of health challenges faced by many older Americans, from arthritis to prostate cancer, even those who take good care of themselves.

Who pays? Do we stay home from work to care for the chronically sick in our own families (but how would we pay for things like medications and the hospital bed in the living room)? Do we dump our sick out onto the street like some third world country? Do we depend not on the government, but on the church, with faith centered charities in charge of our care and welfare?

I guess there might be a good, people-centered solution that I’ve missed here. I  know reasonable people, whom I respect, who truly believe we as a nation can do quite well without government involvement in regulating those who profit from the health care industry.

Oh, and what should be different if I were the drunk driver?

I just can’t see exactly how that would work.

Mar 232010
 
“Every normal man must be tempted at times to spit on his hands, hoist the black flag, and begin to slit throats.”  H.L. Mencken

Let us hope, for now, that this is a figurative statement of the bloodbath I believe will come this November. No matter the will of the people, the town hall meetings and countless protests, no matter the polls to the contrary, no matter the loss of Ted Kennedy’s seat in Massachusets, President Obama and his minions in the Democrat party have succeeded, for the time being, in passing the most intrusive government program in our lifetime. It was signed into law today.

All residents of this country will be REQUIRED to purchase a service from an institution that virtually  noone believes acts in the best interest of it’s clients….and they have the gall to call it “reform”. The senate must now attempt to remove the “pork” from the bill to make it somewhat palatable to the American people. They will fail. The Nebraska, Louisiana, and Montana bribes have to be removed, as well as the federal funding of elective abortions. So says our president. It sickens me to see how they shoved this through, the closed door sessions, bribery and arm twisting shows the worst of our system. My hope is that the state’s attorney’s general will prevail and this mess be found unconstitutional. Suits were filed within minutes of the signing.

The thing hidden in this disaster that should outrage the Pagan community is the takeover of student loans by the government. Does anyone here think the middle class white pagan kid has ANY shot at a loan for higher education? With a minority slanted Christian government in place we don’t have a chance. Byron, I’d love your take on this! You are much more informed on the Dominionist Christian sector than most of us.

Back on the campaign trail, then Senator Obama spoke to the reparations proposal and said that it didn’t go far enough. He mentioned health care and education as something that was needed. I guess he got his wish. This debacle and the attached loan program have the potential to impact the minority community far more than any other group. Where are the screams of “racism” that would surely echo if the tables were turned?

I find it a bit ironic that it was 235 years ago today that Patrick Henry gave his famous speech in Virginia supporting sending the state’s militiamen to fight in the Revolutionary war against an oppressive, overbearing government. “Give me liberty, or give me death!” There is a growing tide of discontent in this nation again today. Our legislators would do well to pay heed to our past, lest we repeat our mistakes. Jefferson believed a “revolution” would be necessary every 20 years or so, that lethargy was our enemy. We have bloodless revolution with each election cycle, although I doubt that was his meaning….and lethargic we have become!

I have heard said that there are “compromise” provisions in the law to appease some conservatives, “republican” ideas, that it is actually a very conservative approach. My response to that is this: A bit of rouge and lipstick and some dim lighting does not make a syphilitic whore any less of a syphilitic whore. Come daylight, it is what it is. This is an attempt by the federal government to seize more power. Power they are not provided in the Constitution.

I pray to the Gods it is not too late. Freedom lost is seldom regained without bloodshed. Our country is as deeply divided today as it has ever been in our past. Have we evolved to the point of repair without revolution? Time will tell.

Mar 202010
 

The last divine member of Apollon’s family that I’ll introduce in this series is his granddaughter Hygeia. She was (and is) often worshiped along side Her father, Asclepios. Hygeia does not heal people, she helps patients with prevention of sickness and the continuation of existing sound physical and mental health. She also encourages good sanitation practices, which is where we get the word hygiene.

Hygeian medicine: anything that affects the physical and mental well-being of people.

On an individual level this includes food, water, sleep, personal  cleanliness, waste disposal, and proper socializing.

Having clean, safe water to drink is our governments greatest and most costly contribution to health care in this country.   Since 1990, we have spent approximately $1 trillion on ensuring drinking water supply and waste water treatment and disposal.  Most of us take for granted the clean water piped right into our homes, businesses, and public places.   Until a toilet backs up, we don’t think twice about how important waste removal is.  Cholera, dysentery, and typhoid are not diseases we worry about getting from our water supply. Diarrheal disease from unsafe water causes just over 1.5 million deaths around the world each year.

Because we take it for granted, we no longer invest the needed tax dollars to repair, update and add on to our water and sanitation systems. We don’t fund needed research and development.  Even common sense technologies are not employed. For example, building codes do not require the use of greywater systems and many cities and states still prohibit the use of them.  15% of all drinking water used in the US goes to water lawns and landscaping.   Just over 7,000,000,000 gallons of drinking water are used every day to flush toilets.  If greywater was used to water yard and landscaping and was also used to flush toilets, we would automatically use 57,000,000,000 fewer gallons of water per day.

We, as citizens, can help ensure our drinking water stays clean. We can work to change building codes to allow or mandate greywater systems in all new buildings and homes, we can be vigilant against polluting our fresh water systems, and we can reduce the strain we put on our water and sanitation systems. Just shutting the water off while you brush your teeth uses 3 gallons of water less per person per day.  You could install a greywater system in your home. Water your plants with water from your washing machine or rainwater. Live by “if it’s yellow let it mellow, if it’s brown flush it down.” Some even advocate peeing in the shower instead of the toilet.   If you do that in my home, though, I will kick your ass.

Mental health – water and mental health intersected with Hygeia during two customs in Greece, the baths in the gymnasia and at the healing temples’ springs and baths.  Both men and women (separately) spent time in the loutron showering, washing, rubbing, scraping their skin with strigils, and anointing each other with oil.  Not only did this cleanliness promote good physical hygiene, it promoted mental hygiene as well.  Humans are social creatures.  We like to be touched and cared for.  We crave physical contact. Group bathing and non-sexual touching sooth away anxiety, reduces the strain of interpersonal conflicts.  This is one custom, caring and non-sexual touching, I wish we would bring into our modern culture.

Sleep is a way to stay physically and mentally healthy and is a sacred conduit for communication with the Gods. Gods used dreams to communicate and send messages to humans.  Problems were uncovered and treatments revealed when patients slept in the the temples of Asclepios.  Today, mental health care professionals see this more as the unconscious mind revealing itself to us and use dreams and other altered states as a way to address trauma and unresolved issues from our past.

Some recent studies are linking lack of sleep to a variety of major illnesses, including cancer, heart disease, diabetes, depression, and obesity.  It certainly doesn’t hurt our physical or mental health to get enough sleep, but few of us do.  70% of Americans say they are not getting enough sleep.  We claim we are too busy doing more important things like work, playing video games and watching TV or are to stressed to sleep.  We brag about how little sleep we get, as if it is a badge of honor.  Treating sleep with the respect it deserves is something most of us could easily do and it would positively affect our physical, mental, and spiritual health.

I hope, in the past four blog posts, I have either reminded you of things you already knew, or encouraged you to think about how your religion and health interacts.  To realize that you control more of your health care than you may have thought and that your actions can cut costs more effectively than any act of Congress.  Perhaps to view or think up different possibilities for how government, health care professionals, and citizens can work together to create healthier communities.

I’m going to ask a huge favor of you – if you do have ideas and opinions for how government, health care professionals, and citizens can work together to create healthier communities, please share them here, with your friends and family, and with your elected officials.

Mar 192010
 

Continuing the conversation in this week’s series on looking at the intersection of religion and health care regarding the current and proposed responsibilities of government, health care professionals, and individual citizens in managing our health – let’s look at the role of Asclepios.

Healer-priests and physician descendants of Asclepios, such as Hippocrates of the temple at Cos, used the arts of surgery, medicine, prayer, dreams, diet, mineral baths, and songs to heal patients. Asclepios’ temples were the first hospitals.

Asclepiosian Medicine: Combining traditional and alternative medicine and adding a spiritual component

Surgery, medications and diagnostic tests and devices are at the forefront of health care in the USA. We are continually advancing the research into these areas they receive the lion’s share of funding and attention. In application, the cost to a sick individual can (literally) kill you. As for the costs of health care in general, I’m going to stay away from that topic in this series as much as I can because I believe there are too many other topics about health care that are ignored.

In the USA, as in many countries, we are experiencing a shortage of Primary Care physicians. This shortage is projected to get much, much worse, in the coming years for a variety of reasons. One possible solution would be for the government, at either the state or federal level, to step in and provide Primary Care to all citizens through tax dollars. As a libertarian, my fingers almost burn while I type that. But the reality is that the private market is abandoning this service sector and so it is not as great of an intrusion for the government to step in. This would not be unlike the State and private supported temples of Asclepios. The State supported the basics of many temples, private benefactors and patient offerings for specific healings filled in from there. Sometimes it was the other way around.

Herbalism, chiropractic care, acupuncture, aromatherapy, and meditation are a few examples of non-traditional or alternative medicine. Complementary and Alternative medicine is beginning to gain some scientific recognition and main stream acceptance, but that is happening slowly. What is happening even slower is for traditional and non-traditional health care to be combined in a comprehensive treatment plan. Traditional health care professionals are often not familiar with alternative health care practices and vice versa. This disconnect can result in sub-optimum health care and increased costs. Does the patient need a prescription, acupuncture, or meditation to deal with chronic pain? Or a combination of all three? What would be the most effective with the least side effects? Should a back injury be treated with surgery or chiropractic care? Would a change in diet lower your cholesterol and bring your diabetes under control or would medication work better? Both? When all you have is a hammer, every problem looks like a nail. By working together and having at least a working knowledge of traditional and non-traditional medicine, our health care providers would have an entire tool kit to draw from.

Diet can be a sensitive subject for people since weight and self-esteem are so tightly bound, but there can’t be a discussion about health unless we also talk about diet. Like exercise, diet is one of the most important ways we can positively affect our health. According to the CDC, obesity is now ranked as our leading contributor to disease and death in the USA today. Each year obesity-related conditions cost over 150 billion dollars and cause an estimated 300,000 premature deaths in the US. Those are very sobering statistics.

While weight does not always equal health, maintaining a healthy weight certainly helps.  The good news is that changing your diet is something everyone can do. The bad news is that there is no easy trick or fad diet that works long term. The great or sucky news, depending on your view, is that the consensus opinion among dieticians and health care professionals is that a healthy diet is one that has little or no processed foods in it.

“…whole, real, unprocessed food is almost always healthy, regardless of how many grams of carbs, protein or fat it contains.”

Of course, we do have to limit our portion sizes, which are out of control in the USA.

Health care professionals can advise us on a diet that can maintain our present good health, help manage an illness or injury we experience, and can assist with weight. They can’t buy the food and they can’t make sure we stick to it.

Our government has a limited role that it can play. They do provide money and food for low or no income citizens through programs like WIC and Food Stamps. It’s an extremely small amount and that can make it challenging to not only feed you, but to do so in a way that is healthy.

The most effective role the government could play in helping Americans eat a healthy diet is to education people on how to do exactly that. They could provide (more) classes on how to cook your own meals since fewer Americans know how to cook from scratch. Classes on how to get the most food value for your dollar when shopping would be immensely helpful. For example, a tomato in August and a tomato in January cost very different amounts. Don’t buy fresh tomatoes in January. Bags of dried beans are cheap, healthy and versatile. Classes and free cookbooks on how to prepare low cost, healthy meals should be made available. Think of all the recipes crafted from the harsh necessities faced during WWII that are being lost as our grandparents die. Simple food growing classes would help people have a ready supply of greens. Even if you live in a small apartment, you would be amazed at the amount of food you could grow. At the very least, if you have a jar, a window, and some seeds you can grow sprouts. Personally, I think all those classes, along with basic finances should be part of High School curriculum and offered through Community Education.

Spirituality – The Temples of Asclepios were, obviously, religious centers. Prayers and offerings were made to the God by those who were ill or a family member and dream incubation was a primary way of consulting Asclepios. Equally obvious, our government is barred from promoting a religion. Our health care providers’ religion and practices may not be the same as ours. If it is, you may be one of the lucky few who receive prayers along with your treatment.

Generally the spiritual component to health and healing rests with us, our family, and our religious community. The studies are sometimes at odds, but I firmly believe that prayer can assist with healing. I know in my heart that appealing to Asclepios can work wonders. Since He isn’t a “jealous God” I appreciate immensely prayers said on my behalf from people of different religions. Prayer has eased my pain and helped me calmly face upcoming medical procedures. Dreams and omens have reassured me that everything would be fine.

My religion has encouraged me to lead a more healthy life. As I’ve noted before, I hate exercise. Many times, I would much rather eat pizza several nights in a row rather than take the time to cook a meal. Especially if I am tired and it is getting late. Yet it’s much easier to eat a few pieces of cheese and an apple for dinner than it is to order a pizza. We act on what we consider a priority. We make time for what is important and make excuses for not doing what we know should be important to us, but really isn’t. I’m no different. I can come up with some sincere sounding excuses to not do yoga in the morning. I’ve been known to blame a project deadline as the reason we are eating Taco Bell again. By seeing my health as an integral part of my religious practice, I am inspired to do better. Exercise is an offering to the Gods and a time of prayer and meditation. Growing some of my food is an act of devotion that helps me grow closer to Demeter, Kore, and Dionysos. Shopping for and preparing a healthy evening meal for my family is an act sacred to Hestia. A bit more indirectly, my spirituality also opened my mind to going to an herbalist. Liz, who sets up shop at Magus Books and Herbs in Minneapolis, is has the true Asclepiad spirit.   Such an amazingly talented woman. In so many ways, Hellenismos has caused me to look at my place in the world differently. I’m part of the cycle and am both affected by it and I can affect it. This includes my health.

Next blog post: Hygeian Medicine – Physical and mental health, sanitation

Mar 172010
 

Much of the conversation regarding health care in our country revolves around cost and what the government’s responsibility is towards the citizens in providing health care.  Sprinkled throughout are bits about greedy doctors, litigious lawyers, and rich taxpayers.  Very little is said about the role that you and I play in maintaining our health.  We are looked at as helpless consumers, too immature to do or understand simple things to keep ourselves healthy.  If we are unwilling to take even the most basic of steps to maintain our health, how we can we castigate doctors and government for not doing enough to help us?  Just as I look to Hellenismos for inspiration on how to manage my finances, I’ve also found wisdom in how to be an active partner in maintaining my health.

In Hellenismos there are several gods that attend to health and wellness because it is such a complex and interconnected issue. Apollon could bring plagues or avert them.  Young men spent hours at the gymnasia, exercising as a devotional offering to Apollon, honing the body along with the intellect.  Healer-priests and physician descendants of Asclepios, such as Hippocrates of the temple at Cos, used the arts of surgery, medicine, prayer, dreams, diet, mineral baths, and songs to heal patients.  Asclepiops’ temples were the first hospitals.  I won’t name all of Asclepios’ divine children, but Hygeia was often worshiped along side Her father.  Hygeia helped patients with prevention of sickness and the continuation of sound physical and mental health.  She encouraged good sanitation practices.

Basic sanitation, surgery, preventative care, diet, medicines, mental health, exercise, prayer and divine intercession, public health initiatives, and what we call alternative medicine are related and interconnected through Apollon’s divine family.  Government, Doctors and Healer Priests, and Citizens all had roles they were expected to play.  Back then, more of the burden was shouldered by individual citizens than by doctors or the government.  Today, almost none of the burden lays with the citizen.  Perhaps it’s time to combine the best of the old with the best of the new?

Apollonian Medicine: Immunizations and Exercise
Immunization: The government should offer free immunizations to all citizens.  Health professionals can either be employed or reimbursed by the government to administer the immunization.  Citizens have a responsibility to get the immunization.

Exercise: This, along with diet, is the number 1 area that Americans need to work on to improve their health and it’s not something that the government or doctors bear much responsibility for.  It’s all on us. Even walking for 15 minutes just 3 days a week can yield remarkable benefits and costs us nothing. How many of us do even that little bit to manage our health? How can we ask others – such as the government, fellow taxpayers, and health care professionals – to spend time, money, and skill to help us when we show almost no desire to help ourselves.   As Nick said in a comment to my previous post about health care, “healthy eating and frequent exercise cost less, and do more good, [than] heart transplants.”

Seven out of ten Americans don’t exercise regularly.  We know the benefits of regular exercise to both our physical and mental health we just don’t do it.  To name a few of those benefits:

Lack of regular exercise not only hurts our health, it hurts our pocketbooks. Physical inactivity, overweight, and obesity were associated with 23% of health plan health care charges and 27% of national health care charges.  In 2000 an estimated $117 billion in health care spending in the USA was due to inactivity and obesity.  To bring it to a personal level, the average active 75 year old female with no physical limitations spends just over $1900 per year on health care costs. The average inactive 75 year old female with no physical limitations spends just over $3,200 per year on health care costs. That’s a difference of $1300 per person per year.

I have a confession to make.  I hate to exercise.  After I got out of the military I swore that the only way I would ever run again would be if someone was chasing me with a knife.  But I do stay active.  I see it as part of my duty to myself, my family, to my community, and to the Gods to stay fit.  Most every morning, I do 12 Sun Salutations while chanting prayers to Helios.  That’s not a huge effort in time or energy, but it it does the job.  Like my coreligionists from long ago, I dedicate this exercise as a devotional offering.  Also like them, reciprocation plays a large role in how I live.  I give so that I may receive.  I receive improved mental health from some quiet, meditative time before the chaos of the day starts along with improved physical health.  I certainly receive more than I give.  But first, I have to be willing to give.  We all have to be willing to give.

Hail Apollon Akesios!

Next blog post: Asclepios Medicine – Combining Traditional and Alternative medicine with a spiritual component.

Mar 152010
 

For the past several years, health care has dominated American politics. Many of us are exhausted, confused, disappointed, hopeful, or determined. Some of us are all of the above depending on the day. The debate rests right at a crossroads of ethics, macro-economics, survival, and personal finances. For portions of our population, religion is central to the debate and that is true for me, as well. I’ll be addressing the intersection of religion and health care as a series this week.

Although I hope the current health insurance Bill(s) before Congress doesn’t become law for various reasons, I have no serious opposition to instituting a National Health Service in the USA similar what is in SpainFrance or Australia. Nor do I have any strenuous objection to allowing more of a free-market in health care by reducing insurance down to catastrophic coverage only for all Americans. I can see the merits to any number of other ideas, such as what Safeway uses to cut costs by 40% by rewarding healthy behavior.  I’m open to these plans because they are all just methods of paying for health care and have little to do with health care itself. What I’m not open to is anything that interjects the government and politics in between the doctor-patient relationship.

The Epistates of Hellenion, in an off-hand way, related something profound she heard from a speaker at a graduation ceremony in the late 1980′s. The keynote speaker was one of the founders of Médecins Sans Frontières. He explained that while Zeus was about government, and his divine son Apollon addressed public health issues such as plagues, physicians belonged to Apollon’s mortal-born son Asclepios. The lessons to be learned from this are not only that doctors are mortal and only seem divine, but that government should be two steps removed from doctors. Governments should support public health, but the intimate relationship between Doctors and patients are beyond politics.

Other than minor areas such as licensing, doctors should be free to care for their patients without interference from the State. The Federal government shouldn’t outlaw abortion or prohibit funding of it (as in the Stupak-Pitts amendment), but also shouldn’t force doctors to recommend or perform abortions. I’m a supporter of doctor assisted suicide and disagree with the prosecution of those who help terminally ill persons to end their lives (even family members), but I don’t think doctors should ever be required to end a life. I’m all for birth control, but I don’t advocate laws requiring medical personnel to proscribe it. I’m as patriotic as the next person, but I refuse to label doctors who treat patients in “enemy” countries as traitors.

Regardless how you feel in respect to the health insurance Bills on the table in Congress or the current state of health care in this country, keeping government and doctors two steps removed from each other is a concept worth preserving.  Any changes we contemplate to our health care system or laws in the USA need to ensure this separation.  If that isn’t safe guarded, it won’t matter how we pay for it, our medical care will suffer.